S31.641 - Puncture wound with foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity S31.6 - Open wound of abdominal wall with penetration into peritoneal cavity S31.64 - Puncture wound with foreign body of abdominal wall with penetration into peritoneal cavity S31.641 - Puncture wound with foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity